Bongjo Kim, Garam Hong, Young Chul Ha, Minki Jeong, Seong Dae Ahn, Eun-Hee Kim, Sang Kab Park
{"title":"The effects of BASE program on physical fitness and pain related factors in rural late-older women with CLBP: A pilot randomized controlled trial.","authors":"Bongjo Kim, Garam Hong, Young Chul Ha, Minki Jeong, Seong Dae Ahn, Eun-Hee Kim, Sang Kab Park","doi":"10.1177/10538127261448971","DOIUrl":"https://doi.org/10.1177/10538127261448971","url":null,"abstract":"<p><p>BackgroundChronic low back pain (CLBP) is a prevalent musculoskeletal condition among older adults, especially those engaged in agricultural work. Despite evidence supporting exercise interventions, structured programs for women aged ≥75 years with CLBP remain limited.ObjectiveTo evaluate the effects of the Body Awareness-Stability-Enhancement (BASE) program on physical fitness, pain-related outcomes, and exploratory biomarkers in rural late-older women with CLBP.MethodsTwenty women aged ≥75 years with CLBP were randomized to either the BASE training group (n = 10) or a passive control group (n = 10). This pilot randomized controlled trial, originally conducted as part of a doctoral dissertation, used a small convenience sample. The 12-week BASE program comprised progressive stages emphasizing body awareness, core stability, and functional enhancement. Outcomes included body composition, physical fitness (strength, balance, mobility, and flexibility), pain and disability (VAS and ODI), and biomarkers (hs-CRP and VEGF).ResultsThe BASE program improved skeletal muscle mass and appendicular skeletal muscle index (both p < .001), handgrip strength (p = .002, .012), mobility (timed up-and-go: p = .001; 4-meter walk: p = .001), and flexibility (sit-and-reach: p < .001). Pain (VAS, p = .007) and disability (ODI, p = .037) decreased significantly. hs-CRP declined (p = .024), while VEGF increased (p = .011).ConclusionThe BASE program was associated with improved physical function and reduced pain in rural women aged ≥75 years with CLBP. These preliminary findings support the feasibility and potential value of a structured, multimodal exercise intervention and warrant confirmation in larger trials.Trial registrationCRiS KCT0010632; registered on 13 June 2025 (retrospectively registered).</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261448971"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of Baduanjin on pain, balance, function and kinesiophobia in individuals with knee osteoarthritis: A randomized controlled trial.","authors":"Ali Yildirim, Zeynep Hosbay, Adnan Aksoy","doi":"10.1177/10538127261448996","DOIUrl":"https://doi.org/10.1177/10538127261448996","url":null,"abstract":"<p><p>BackgroundKnee osteoarthritis (knee OA) is a common degenerative joint disease associated with pain, functional limitation, and balance impairment. Baduanjin, a traditional mind-body exercise involving slow, coordinated movements and breathing control, has been suggested to improve neuromuscular function. This randomized controlled trial investigated the effects of adding face-to-face and online Baduanjin to structured exercise therapy on pain, function, balance, and kinesiophobia in individuals with knee OA.MethodsSixty-six participants aged 40-70 years with radiographic knee OA (Kellgren-Lawrence grade II-III) were randomly assigned to three groups: structured exercise plus face-to-face Baduanjin, structured exercise plus online Baduanjin, or structured exercise alone. Interventions were performed three times weekly for 12 weeks. Outcomes were assessed at baseline, week 6, and week 12 using the Visual Analog Scale (VAS), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Berg Balance Scale (BBS), Timed Up and Go Test, Tampa Scale for Kinesiophobia, and 30-Second Sit-to-Stand Test.ResultsBoth Baduanjin groups showed significant improvements in VAS, WOMAC, BBS, Timed Up and Go, kinesiophobia, and sit-to-stand performance at weeks 6 and 12 (p < 0.05). The structured exercise group improved mainly in VAS and WOMAC function scores (p < 0.05).ConclusionsBoth face-to-face and online Baduanjin approaches were associated with improvements in pain, balance, mobility, and functional outcomes when added to structured exercise therapy in individuals with knee OA. Online delivery showed trends comparable to those in clinical outcomes.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261448996"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammed Moustafa Aldosouki Hegazy, Saud M Alrawaili, Ahmed Sayed Ahmed, Fatema M Rizk
{"title":"Comparative effects of neural mobilization, mulligan, and maitland mobilization techniques in patients with tennis elbow: A randomized clinical trial.","authors":"Mohammed Moustafa Aldosouki Hegazy, Saud M Alrawaili, Ahmed Sayed Ahmed, Fatema M Rizk","doi":"10.1177/10538127261446414","DOIUrl":"https://doi.org/10.1177/10538127261446414","url":null,"abstract":"<p><p>BackgroundTennis elbow is a common musculoskeletal condition that causes discomfort and functional limitations in the wrist extensors. Manual therapy techniques including neural mobilization, Mulligan, and Maitland mobilization are commonly used to relieve pain and improve upper limb function, but their relative usefulness is unknown.ObjectiveTo compare between three manual therapy approaches (radial nerve mobilization, Mulligan and Maitland mobilization) to find their effectiveness when they were added to eccentric exercises in patients with tennis elbow. Study Design: Single-blinded, randomized, controlled trial.MethodsForty-five tennis elbow participants were randomly allocated into three groups (n = 15 each): Group A received radial nerve neural mobilization, Group B received Mulligan mobilization (MWM), and Group C received Maitland mobilization. Interventions were implemented over six weeks. Pain intensity, Pressure Pain Threshold (PPT), functional disability, and hand grip strength were measured before and after intervention.ResultsBetween-group comparison showed no statistically significant differences in post-treatment scores for Pain intensity (p = 0.10), PPT (p = 0.45), functional disability (p = 0.16), and grip strength (p = 0.75). However, the radial nerve neural mobilization group had a greater mean reduction in pain intensity (Pre- post: 4.6-1.8) and improved grip strength (Pre-post:26.65-31.14 kg) compared to the other groups<b>;</b> this difference is numerically greater but statistically insignificant.ConclusionsMaitland, Mulligan, and neural mobilization approaches are effective in reducing pain and enhancing upper limb function in patients with tennis elbow. Neural mobilization may provide numerically greater therapeutic benefits, but further research with larger sample size and long-term follow-up is needed.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261446414"},"PeriodicalIF":1.4,"publicationDate":"2026-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Association between musculoskeletal disorders and major depression among middle-aged and older adults in India.","authors":"Gayatri Khanal, Yesuvadian Selvamani, Omkar Bist, Saurabh Singh, Ruby Manandhar","doi":"10.1177/10538127261447063","DOIUrl":"https://doi.org/10.1177/10538127261447063","url":null,"abstract":"<p><p>BackgroundMusculoskeletal disorders (MSDs), which impose significant economic and mental health burdens, are a major public health concerns among older population globally. However, evidence on the intersection between MSDs and depression among older adults in India remains limited.ObjectiveThe objective of the study is to investigate the association between musculoskeletal disorders and depression among older Indian adults using nationally representative data.MethodsCross-sectional data from the first wave of the Longitudinal Ageing Study in India (LASI, 2017-2018) were analyzed for 65,311 participants. Depression was measured by validated tool the Composite International Diagnostic Interview-Short Form (CIDI-SF). Binary logistic regression analysis was employed to examine the nexus between musculoskeletal disorders and depression in middle-aged and older adults.ResultsThe results indicate a significant association between musculoskeletal disorders (MSDs) and depression. After adjusting for covariates, the odds of experiencing depression among those who experienced joint pain or stiffness (aOR: 1.19, CI 1.11-1.29), foot or ankle pain/swelling (aOR: 1.55, CI 1.43-1.68), and back pain or problems (aOR: 1.28, CI 1.19-1.38) were higher compared with those reporting no such conditions. Similarly, individuals who experienced falls or injuries had 50% higher odds of depression (aOR: 1.50, CI 1.38-1.63) than those who didn't experienced falls or injuries.ConclusionAlthough causality cannot be established due to the cross-sectional nature of the study, findings highlight the strong association between MSDs and depression among older adults in India. These results underscore the need for physicians to address mental health alongside MSDs management and to promote preventive and educational programs.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261447063"},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hatice Betigül Meral, Aylin Rezvani, Sena Tolu, Mithat Oğuz Yavuz
{"title":"The turkish version of the well-being in pain questionnaire: Cross-cultural adaptation, validation, and evaluation of measurement properties in individuals with chronic low back pain.","authors":"Hatice Betigül Meral, Aylin Rezvani, Sena Tolu, Mithat Oğuz Yavuz","doi":"10.1177/10538127261448974","DOIUrl":"https://doi.org/10.1177/10538127261448974","url":null,"abstract":"<p><p>BackgroundThe Well-Being in Pain Questionnaire (WPQ) assesses psychosocial aspects in individuals with chronic pain.ObjectiveTo translate and culturally adapt the WPQ into Turkish (WPQ-Tr) and evaluate its psychometric properties in individuals with chronic low back pain (CLBP).MethodsThe study included 155 participants (105 with CLBP and 50 pain-free controls). Cross-cultural adaptation followed guidelines. Psychometric evaluation assessed internal consistency, test-retest reliability, structural validity, known-groups validity, and convergent validity. Structural validity was examined using principal component analysis (PCA) and confirmatory factor analysis (CFA). Known-groups validity was assessed by comparing WPQ-Tr scores between CLBP and pain-free controls. Convergent validity was evaluated by correlations between WPQ-Tr scores and the EuroQol 5-Dimension 5-Level Questionnaire (EQ-5D-5L), Pain Catastrophizing Scale (PCS), Pittsburgh Sleep Quality Index (PSQI), Roland-Morris Disability Questionnaire (RMDQ), Central Sensitization Inventory (CSI), and Generalized Anxiety Disorder-7 (GAD-7).ResultsThe WPQ-Tr demonstrated acceptable internal consistency (Cronbach's α = 0.713). Test-retest reliability was excellent, with an intraclass correlation coefficient of 0.987 (95% CI: 0.972-0.994)<b>.</b> Known-groups validity was supported by significant differences in WPQ-Tr scores between individuals with CLBP and pain-free controls (p < 0.01). PCA indicated a unidimensional structure explaining 54.66% of the variance, supported by CFA. Convergent validity was supported by strong correlations with EQ-5D-5L (ρ = 0.902), PCS (ρ = -0.923), CSI (ρ = -0.923), PSQI (ρ = -0.794), RMDQ (ρ = -0.893), and GAD-7 (ρ = -0.828) (all p < 0.01).ConclusionThe WPQ-Tr is a valid and reliable instrument for assessing well-being in Turkish-speaking individuals with CLBP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261448974"},"PeriodicalIF":1.4,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing adherence and outcomes in rotator cuff-related shoulder pain: A randomized trial of individualized exercise sequencing.","authors":"Beom Chang Baek, Nackhwan Kim","doi":"10.1177/10538127261445293","DOIUrl":"https://doi.org/10.1177/10538127261445293","url":null,"abstract":"<p><p>BackgroundAdherence to exercise remains a challenge in rotator cuff-related shoulder pain (RCRSP).ObjectiveThis study compared an individualized exercise sequence with a content-matched random sequence on pain, disability, and adherence in adults with chronic RCRSP.MethodsIn a single-center randomized controlled trial, 55 participants with chronic RCRSP were assigned to an individualized, algorithm-based sequencing protocol or to a random sequence of the same 13 home-based exercises (24 sessions over four weeks). The primary outcome was the Shoulder Pain and Disability Index (SPADI) total score at eight weeks. Secondary outcomes included pain intensity, the Korean version of the Disabilities of the Arm, Shoulder and Hand questionnaire (K-DASH), and range of motion. Adherence, defined as completed cycles, was a key measure.ResultsForty-eight participants (87.3%) completed the eight-week follow-up. Group baseline characteristics were similar. Intervention fidelity was confirmed, with distinct sequencing patterns between groups (<i>p</i> < 0.05). Adherence was higher in the individualized group (media4.0 cycles) than in the random sequencing group (median 1.0 cycle; <i>p</i> < 0.001). This difference corresponded to greater improvement in the primary outcome and all secondary outcomes across follow-ups (all post hoc <i>p</i> < 0.001). Linear mixed-effects models also showed a steeper rate of functional improvement (K-DASH and range of motion) in the individualized group.ConclusionIndividualized sequencing was associated with superior adherence and improved outcomes. Interpretation requires caution: the large treatment effect was likely mediated by adherence, and the low compliance in the random sequencing group may not reflect usual practice.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"10538127261445293"},"PeriodicalIF":1.4,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Enhancing rehabilitation outcomes in chondromalacia Patella: The impact of combining manipulative therapy with a structured exercise program.","authors":"Yasın Gormez, Gamze Demırcıoglu","doi":"10.1177/10538127251391087","DOIUrl":"10.1177/10538127251391087","url":null,"abstract":"<p><p>BackgroundChondromalacia patella (CMP) is characterized by cartilage degeneration in the patellofemoral joint, often causing anterior knee pain and impaired knee function.ObjectiveThis study aims to evaluate the effectiveness of manipulative therapy in patients diagnosed with CMP.MethodsIn this prospective randomized study, 40 patients diagnosed with CMP were randomly assigned to the manipulative therapy group or the control group. Both groups underwent strengthening and stretching exercises targeting the knee and hip muscles. Additionally, the manipulative therapy group received manipulative therapy focusing on the thoracolumbar, lumbopelvic, and sacroiliac joints three times a week. Pain intensity was measured using the Visual Analog Scale (VAS), while disability was assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Active knee flexion was recorded, muscle performance was evaluated using the Stair Climbing Test (SCT) and Horizontal Jump Test (HJT), and balance was assessed using the Star Excursion Balance Test (SEBT).ResultsBoth groups showed significant improvements in VAS, active knee flexion, WOMAC scores, SCT, HJT, and SEBT outcomes. However, the manipulative therapy group demonstrated significantly greater improvements than the control group in disability (WOMAC scores, <i>p</i> < 0.001, d = 1.93), horizontal jump performance (<i>p</i> = 0.03, d = 1.57), and balance (SEBT outcomes, <i>p</i> < 0.001, d = 1.60).ConclusionBy integrating manipulative therapy with strengthening and stretching exercises targeting the knee and hip muscles, clinicians can offer a multifaceted intervention that addresses the biomechanical and neurophysiological aspects of the condition, enhancing the rehabilitation process and functional recovery in patients with CMP.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"808-816"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lama Saad El-Din Mahmoud, Shaimaa Mohamed Metawee, Nasr Awad Abdelkader
{"title":"Effect of kinesthetic and visual motor imagery with biofeedback on cervical position sense and balance in patients with mechanical neck pain: Randomized controlled trial.","authors":"Lama Saad El-Din Mahmoud, Shaimaa Mohamed Metawee, Nasr Awad Abdelkader","doi":"10.1177/10538127251398405","DOIUrl":"10.1177/10538127251398405","url":null,"abstract":"<p><p>PurposeTo examine impact of kinesthetic and visual motor imagery (MI) training on balance, cervical proprioception, and function in mechanical neck pain patients.MethodsFifty-three patients were assessed for eligibility. Nine patients were excluded for different reasons, and the remaining forty-four were randomly allocated into two groups (study and control). The patients were assessed pre- and post-treatment for cervical proprioception, neck mobility, balance, and pain using cervical joint position sense error (JPSE) test via overhead laser pointer, neck disability index (NDI), multidirectional reach test (MDRT), and visual analogue scale for pain (VAS-P), respectively. The study group (N = 22) received kinesthetic and visual MI training and a conventional physical therapy program, while the control group (N = 22) received a conventional program. Both groups received three sessions per week for four weeks. Both the statistical analyzer and the patients were blinded, and the study was registered in clinicaltrials.gov ID: XXXXXX.ResultsForty-four patients were included in the study and were randomly assigned to equal groups. Following intervention, the two groups' comparison demonstrated improvement with a significant decrease in the neck JPSE, NDI, and VAS-P and an increase in MDRT scores in the study group more than in the control one, while within-group comparison, there was a significant decrease in the neck JPSE, NDI, and VAS-P, and an increase in MDRT scores post-intervention compared with that of baseline in both groups (p < 0.05).ConclusionMI training with biofeedback is an effective therapeutic intervention for enhancing balance, neck position sense, and decreasing mechanical neck pain.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"864-875"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145633393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alessandro de Sire, Andrea Parente, Emanuele Prestifilippo, Francesco Agostini, Chiara Conte, Andrea Racinelli, Umile Giuseppe Longo, Andrea Demeco, Nicola Marotta, Antonio Ammendolia
{"title":"Efficacy of hydrokinesis therapy in reducing fatigue and stress in patients with fibromyalgia: A systematic review.","authors":"Alessandro de Sire, Andrea Parente, Emanuele Prestifilippo, Francesco Agostini, Chiara Conte, Andrea Racinelli, Umile Giuseppe Longo, Andrea Demeco, Nicola Marotta, Antonio Ammendolia","doi":"10.1177/10538127251412595","DOIUrl":"10.1177/10538127251412595","url":null,"abstract":"<p><p>BackgroundFibromyalgia is a chronic syndrome with widespread pain and multisystem symptoms. Hydrokinesitherapy, combining exercise and water immersion, may reduce pain, improve function, and enhance quality of life. It may be more effective than land-based therapy, though protocols remain unstandardized. This study evaluated its effectiveness in fibromyalgia.ObjectiveThis systematic review aimed to evaluate the effectiveness of hydrokinesitherapy compared to land-based exercise or placebo intervention in women with fibromyalgia, with particular focus on its impact on pain, physical function, well-being, and quality of life assessed through the fibromyalgia impact questionnaire (FIQ).MethodsA literature review was conducted using the following databases until may 28<sup>th</sup> 2025: PubMed, Scopus, and Web of Science. Studies were deemed eligible based on the following PICO criteria: P) Participants: women diagnosed with fibromyalgia; I) Intervention: hydrotherapy; C) Control: land-based exercise or placebo/sham treatments; O) Outcome: Fibromyalgia Impact Questionnaire (FIQ). Only randomized controlled trials RCTs with two groups and full text in English were included.ResultsThis review included 10 RCTs with 469 participants, 238 treated with hydrokinesitherapy. Results showed significant improvements in pain, function, sleep, depression, and quality of life in women with fibromyalgia. Outcomes were better than land-based exercise, but benefits decline without continued therapy; long-term studies are needed to define optimal duration and structure.ConclusionHydrokinesitherapy combined with exercise benefits from warm-water immersion, reducing joint stress and improving movement tolerance in fibromyalgia. This review confirms its effectiveness in reducing pain, enhancing physical and psychological well-being, and improving quality of life.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"758-774"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966112","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Determination of reference values for abdominal skeletal muscle compartments in Turkish children.","authors":"Tuğba Aydın, Eda Cingöz, Amine Durmuş, Yunus Emre Çakmaklı, İrem Ünal, Taha Kızılkurt, Elif Bahat, Nalan Çapan, Memduh Dursun, Ilhan Karacan, Gulistan Bahat","doi":"10.1177/10538127251407660","DOIUrl":"10.1177/10538127251407660","url":null,"abstract":"<p><p>BackgroundSarcopenia, defined by reduced muscle strength and low muscle mass, is associated with chronic diseases, malnutrition, and growth retardation in children. Computed tomography (CT) is considered the gold standard for assessing skeletal muscle mass. However, pediatric reference values for abdominal skeletal muscle area (aSMA) at lumbar vertebral levels remain limited and vary among populations.ObjectiveTo establish age- and sex-specific reference values and percentile curves for aSMA, including psoas muscle area (PMA), paraspinal muscle area (PSMA), and total skeletal muscle area (TSMA), at L3 vertebral body, L3-L4 and L4-L5 intervertebral disc levels in Turkish children.MethodsThis retrospective study included 2166 Turkish children aged 0-18 years who underwent abdominal CT scans for acute indications. aSMA measurements were obtained at three lumbar levels, and percentile curves were calculated using the Lambda-Mu-Sigma method. SD intervals of ±2 were determined for each parameter. Children with chronic diseases or abnormal muscle morphology were excluded.ResultsOf the participants, 62.1% were boys and 37.9% were girls, with a median age of 10 years (IQR: 5-15). Age- and sex-specific percentile values (3rd-97th) and ±2 SD ranges were established for PMA, PSMA, and TSMA. At the L3-L4 intervertebral disc level, the PMA (50th percentile) ranged from 3.3-15.4 cm² in girls and 3.3-27.2 cm² in boys. Comparative analysis with other populations showed significant inter-population differences.ConclusionWe establish level-specific (L3, L3-L4, L4-L5) normative charts-3rd-97th percentiles and ±2 SD limits-for PMA, PSMA, and TSMA in Turkish children aged 0-18 years, providing population-specific benchmarks that standardize abdominal skeletal muscle assessment and support early identification of low muscle area.</p>","PeriodicalId":15129,"journal":{"name":"Journal of Back and Musculoskeletal Rehabilitation","volume":" ","pages":"951-966"},"PeriodicalIF":1.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145809811","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}